NCT00430807

Brief Summary

Cortico-dependence is frequent in giant cell arteritis patients, and no drugs has proved its ability to prevent corticodependence. Hydrocychloroquine is a well tolerated immunomodulatory drug that may have a corticosteroid sparing potential according to immuno-pharmacological and clinical data. We have designed a multcentric double blind versus placebo randomized controled trial to assess the corticosteroid sparing effect of hydroxychloroquine in non complicated giant cell arteritis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Jan 2002

Longer than P75 for phase_3

Geographic Reach
1 country

23 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2002

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2005

Completed
1.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2006

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

January 31, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 2, 2007

Completed
Last Updated

October 6, 2015

Status Verified

October 1, 2015

Enrollment Period

3 years

First QC Date

January 31, 2007

Last Update Submit

October 4, 2015

Conditions

Keywords

giant cell arteritis,hydroxychloroquine,corticosteroid sparing,corticodependence

Outcome Measures

Primary Outcomes (2)

  • prednisone dosage equal to or lower than 5 mg since more than 3 months without

    3 months at least

  • having experienced relapse since the inclusion in the study

Secondary Outcomes (2)

  • prednisone daily dosage

    6, 12, 18 and 24 months

  • hydroxychloroquine blood levels

Interventions

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • giant celle arteritis with at least 3 ACR criteria including a disgnostic temporal artery biopsy
  • corticosteroid treatment since less than 1 month
  • age less than 85 years
  • signed informed consent

You may not qualify if:

  • amaurosis fugax, loss of vision, acute lumb ischemia, angina pectoris or myocardium infarctus, mesenteric ischemia or other vascular complications related to GCA
  • low life expectancy (\<2 years)
  • corticosteroid treatment since more than 30 days whatever the dosage
  • primary corticosteroid resistance defined by persistant symptoms despite prednisone for more than 15 days
  • previous psychiatric troubles induced corticosteroids
  • hydroxychloroquine contra-indicated

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Hospital

Agen, 47923, France

Location

Hospital

Albi, 81000, France

Location

Hospital Auch

Auch, 32008, France

Location

Hospital Avignon

Avignon, 84902, France

Location

University Hospital Besançon

Besançon, 25030, France

Location

Hospital Béziers

Béziers, 34525, France

Location

University Hospital Côte de Nacre

Caen, 14033, France

Location

University Hospital Dijon

Dijon, 21035, France

Location

Hospital

Foix, 09017, France

Location

Hospital

Lavaur, 81500, France

Location

University Hospital Dupuytren

Limoges, 87042, France

Location

Hospital

Lisieux, 14100, France

Location

Hospital

Lourdes, 65107, France

Location

Hospital

Mazamet, 81200, France

Location

Hospital

Montauban, 82013, France

Location

University Hospital

Nantes, 44035, France

Location

Saint Louis Hospital

Paris, 75010, France

Location

University Hospital Saint Antoine

Paris, 75012, France

Location

University Hospital Bichat

Paris, 75018, France

Location

Hospital Suresnes

Suresnes, 92151, France

Location

University Hospital Toulouse

Toulouse, 31059, France

Location

University Hospital

Toulouse, 31059, France

Location

University Hospital Bretonneau

Tours, 37044, France

Location

Related Publications (6)

  • Jover JA, Hernandez-Garcia C, Morado IC, Vargas E, Banares A, Fernandez-Gutierrez B. Combined treatment of giant-cell arteritis with methotrexate and prednisone. a randomized, double-blind, placebo-controlled trial. Ann Intern Med. 2001 Jan 16;134(2):106-14. doi: 10.7326/0003-4819-134-2-200101160-00010.

    PMID: 11177313BACKGROUND
  • Chevalet P, Barrier JH, Pottier P, Magadur-Joly G, Pottier MA, Hamidou M, Planchon B, El Kouri D, Connan L, Dupond JL, De Wazieres B, Dien G, Duhamel E, Grosbois B, Jego P, Le Strat A, Capdeville J, Letellier P, Agron L. A randomized, multicenter, controlled trial using intravenous pulses of methylprednisolone in the initial treatment of simple forms of giant cell arteritis: a one year followup study of 164 patients. J Rheumatol. 2000 Jun;27(6):1484-91.

    PMID: 10852275BACKGROUND
  • Mazlumzadeh M, Hunder GG, Easley KA, Calamia KT, Matteson EL, Griffing WL, Younge BR, Weyand CM, Goronzy JJ. Treatment of giant cell arteritis using induction therapy with high-dose glucocorticoids: a double-blind, placebo-controlled, randomized prospective clinical trial. Arthritis Rheum. 2006 Oct;54(10):3310-8. doi: 10.1002/art.22163.

    PMID: 17009270BACKGROUND
  • Le Guennec P, Dromer C, Sixou L, Marc V, Coustals P, Fournie B. [Treatment of Horton disease. Value of synthetic antimalarials. Apropos of a retrospective study of 36 patients]. Rev Rhum Ed Fr. 1994;61(7-8):485-90. French.

    PMID: 7833883BACKGROUND
  • David-Chausse J, Dehais J, Leman A. [Results of a regional survey on the treatment of rhizomelic pseudopolyarthritis and temporal arteritis. Apropos of 242 cases treated by various modalities with synthetic antimalarials, corticoids and non-steroidal anti-inflammatory agents]. Rev Rhum Mal Osteoartic. 1983 Jul-Sep;50(8-9):563-71. French.

    PMID: 6635510BACKGROUND
  • Hoffman GS, Cid MC, Hellmann DB, Guillevin L, Stone JH, Schousboe J, Cohen P, Calabrese LH, Dickler H, Merkel PA, Fortin P, Flynn JA, Locker GA, Easley KA, Schned E, Hunder GG, Sneller MC, Tuggle C, Swanson H, Hernandez-Rodriguez J, Lopez-Soto A, Bork D, Hoffman DB, Kalunian K, Klashman D, Wilke WS, Scheetz RJ, Mandell BF, Fessler BJ, Kosmorsky G, Prayson R, Luqmani RA, Nuki G, McRorie E, Sherrer Y, Baca S, Walsh B, Ferland D, Soubrier M, Choi HK, Gross W, Segal AM, Ludivico C, Puechal X; International Network for the Study of Systemic Vasculitides. A multicenter, randomized, double-blind, placebo-controlled trial of adjuvant methotrexate treatment for giant cell arteritis. Arthritis Rheum. 2002 May;46(5):1309-18. doi: 10.1002/art.10262.

    PMID: 12115238BACKGROUND

Related Links

MeSH Terms

Conditions

Giant Cell Arteritis

Interventions

Hydroxychloroquine

Condition Hierarchy (Ancestors)

Vasculitis, Central Nervous SystemAutoimmune Diseases of the Nervous SystemNervous System DiseasesCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesVascular DiseasesCardiovascular DiseasesArteritisVasculitisSkin Diseases, VascularSkin DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

ChloroquineAminoquinolinesQuinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • ARLET Philippe, D

    CHU Toulouse, Hôpital Purpan

    PRINCIPAL INVESTIGATOR
  • SAILLER Laurent, MD

    CHU Toulouse, Service de Médecine Interne, Hôpital Purpan

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 31, 2007

First Posted

February 2, 2007

Study Start

January 1, 2002

Primary Completion

January 1, 2005

Study Completion

December 1, 2006

Last Updated

October 6, 2015

Record last verified: 2015-10

Locations